The holder whose full name is KOSCIELNIAK, MICHAEL A,come from HAMMOND IN,hold the Dentist license(NO.12004755A) which status is Expired.
| Name | KOSCIELNIAK, MICHAEL A |
|---|---|
| License Number | 12004755A |
| License Type | Dentist |
| License Status | Expired |
| City | HAMMOND |
| State | IN |